NUR 2115 UPDATED ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
●● PACES
Answer: (another screening for adolescents)
Parents, peers
Accidents, alcohol/drugs
Cigarettes
Emotional issues
School, sexuality
●● ABCT
Answer: (assessing mental status)
Appearance (posture, dress, body movements, hygiene)
Behavior (speech, mood, facial expressions)
Cognition (orientation, memory, attention span, new learning)
Thought process (logical?)
●● Women at risk for alcohol abuse
Men at risk for alcohol abuse
Answer: women >or= 8/week or 4/day
men >or= 15/week or 5/day
,●● CIWA
Answer: withdrawal assessment, 10 measured objective criteria
*Benzos target neuro to help withdrawals
●● AUDIT
Answer: alcohol screening for general
●● TWEAK
Answer: alcohol screening for women (pregnant)
●● SMAST-G
Answer: alcohol screening for geriatrics
●● CRAFFT
Answer: alcohol screening for teens
C in car with alcohol use?
R used alcohol to relax?
A used alcohol alone?
F forget things while drinking?
F family/friends tell you to slow down?
T trouble while using?
,●● TACE
Answer: alcohol screening for pregnant
T how many it takes?
A people annoy you about drinking?
C felt you should cut down?
E had an eye-opener?
●● AAS
Answer: abuse assessment screening
●● C's of nurse-patient relationship
Answer: Courtesy
Comfort
Connection
Confirmation
Confidentiality
●● CRIES
Answer: neonatal post operative pain measurement
Crying
Requires oxygen for saturation to be >95%
, Increased vitals
Expression
Sleepiness
●● FLACC
Answer: behavioral pain scale for infants and toddlers (2 months to 7
years)
Face
Legs
Activity
Cry
Consolability
●● NIPS
Answer: neonatal infant pain scale up to 6 weeks
●● Wong-Baker FACES
Answer: child selects face that matches pain 3 years and up
●● Oucher Scale
Answer: pictures of children whose facial expressions show pain
QUESTIONS AND CORRECT ANSWERS
●● PACES
Answer: (another screening for adolescents)
Parents, peers
Accidents, alcohol/drugs
Cigarettes
Emotional issues
School, sexuality
●● ABCT
Answer: (assessing mental status)
Appearance (posture, dress, body movements, hygiene)
Behavior (speech, mood, facial expressions)
Cognition (orientation, memory, attention span, new learning)
Thought process (logical?)
●● Women at risk for alcohol abuse
Men at risk for alcohol abuse
Answer: women >or= 8/week or 4/day
men >or= 15/week or 5/day
,●● CIWA
Answer: withdrawal assessment, 10 measured objective criteria
*Benzos target neuro to help withdrawals
●● AUDIT
Answer: alcohol screening for general
●● TWEAK
Answer: alcohol screening for women (pregnant)
●● SMAST-G
Answer: alcohol screening for geriatrics
●● CRAFFT
Answer: alcohol screening for teens
C in car with alcohol use?
R used alcohol to relax?
A used alcohol alone?
F forget things while drinking?
F family/friends tell you to slow down?
T trouble while using?
,●● TACE
Answer: alcohol screening for pregnant
T how many it takes?
A people annoy you about drinking?
C felt you should cut down?
E had an eye-opener?
●● AAS
Answer: abuse assessment screening
●● C's of nurse-patient relationship
Answer: Courtesy
Comfort
Connection
Confirmation
Confidentiality
●● CRIES
Answer: neonatal post operative pain measurement
Crying
Requires oxygen for saturation to be >95%
, Increased vitals
Expression
Sleepiness
●● FLACC
Answer: behavioral pain scale for infants and toddlers (2 months to 7
years)
Face
Legs
Activity
Cry
Consolability
●● NIPS
Answer: neonatal infant pain scale up to 6 weeks
●● Wong-Baker FACES
Answer: child selects face that matches pain 3 years and up
●● Oucher Scale
Answer: pictures of children whose facial expressions show pain
